Abstract:

Aim: The aim of this study was to analyze respectively the frequency of head traumas and case transfer information by retrospective analysis of emergency department transfers of head trauma cases. Method: In this retrospective study, transfers made by Malatya 112 Coordination Center to emergency services of all pediatric or adult head trauma cases in 2019 and 2020 were examined. The data were evaluated retrospectively. Statistical analyses were performed by using SPSS 24.0 statistical package program. Results: It was detected that a total of 4793 patients were transferred due to head trauma in 2019 and 2020; of these 2297 (47.9%) patients were transferred in 2019, and 2496 (52.1%) in 2020. The most common causes of head traumas were found to be falls (35.3%), in-vehicle traffic accidents (24.5%), and trauma due to an unknown/ unspecified cause (20.7%), respectively. When the calls to 112 coordination centers were examined the most common places where the calls were made were found to be places open to traffic (31.6%), open areas /streets (29.6%), and health institutions (20.7%). It was found that 99.6% of the cases were alive before the transfer. When the cases were evaluated according to the Glasgow Coma Scale (GCS), it was found that 97.1% of the cases were in mild group (13-15), 1% in moderate (9-12), and 1.9% were in the severe group (3-8). Conclusion and Suggestion: It was observed that head trauma transfers to emergency services were common and falls and in-vehicle traffic accidents were the most common causes of trauma. The most common symptoms at presentation were found to be nausea-vomiting, loss of consciousness, dizziness, and headache.

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